Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.81 / $165.42 / $1,203.79	Facility		$153.81	$165.42	$1,203.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $189.51 / $268.14	Professional		$153.81	$189.51	$268.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $302.83	Professional		$257.41	$257.41	$302.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $221.00 / $360.27	Professional		$162.44	$221.00	$360.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.21 / $288.21 / $288.21	Professional		$288.21	$288.21	$288.21
United Facility/Professional Facility Modifier Low / Median / High Price $135.76 / $224.66 / $256.16	Facility		$135.76	$224.66	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $179.73 / $256.16	Professional		$154.69	$179.73	$256.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.67 / $204.67 / $360.27	Professional		$204.67	$204.67	$360.27